RISK ASSESSMENT RECORDING FORM

Location or Date Assessment Assessment undertaken

Address: Undertaken: 18/02/17 By: Michael McKay
Kingsway North
WA4 1QN
Warrington
Activity or Review Signature
Situation: Photoshoot Date:

(1) Hazard Risk (2) Who might be harmed and how?
1)Cast crew or equipment could fall 6 If equipment falls into the water it
into the water on the site of the could become damaged, if cast or
photoshoot. crew members fall into the water
they could become seriously
injured.
(3) What controls exist to reduce
risk
Use caution when near the river so
as not to fall in.
(4) What action can be taken
to further reduce risk?
Bring a life preserver so in the
case someone does fall in they
can be thrown the life preserver to
prevent them from being harmed.

2)People on dirt bikes occasionally
use the path.
3)The weather conditions could be
rainy.
5 Use caution when taking the Have an extra person on the
If a member of the cast or crew is hit photos to be aware of any bikes photoshoot who can help by
by a dirt bike they could become coming down the path. looking out for bikes and people
injured, or equipment could be hit or heading down the path.
damaged.
3 Bring Umbrellas and plastic sheets Check the weather forecast in
Bad weather conditions could to protect the camera equipment. advance to avoid bad weather
damage equipment. conditions.
 1. List hazards something with the potential to cause harm here:
Seek to quantify the level of risk the likelihood of harm arising based on the number of persons affected, how often they are exposed to the hazard and the
severity of any consequence.
2. List groups of people who are especially at risk from the significant hazards which you have identified
3. List existing controls here or note where the information may be found
4. List the risks which are not adequately controlled and the action you will take. Have regard for the level of risk, the cost of any action and the benefit you
expect to gain.

(1) Hazard Risk (2) Who might be harmed and how? (3) What controls exist to reduce (5) What action can be taken
risk to further reduce risk?

RISK RATING

a SEVERITY b LIKELIHOOD c FINAL SCORE RATING: what needs to be done

5 Dying or being permanently disabled 5 Will almost certainly happen 16-25 Stop! Do not start activity again until risk is
controlled
4 Serious injury/long term illness 4 Highly likely to happen 10-15 High risk level, High priority. Take action
straight away to control the risk
3 Temporary disability/3 days off sick 3 Not so likely 6-9 Medium risk level. Tighten up controls and
make a plan to do something about risk
2 Will need medical attention 2 Even less likely 3-5 Fairly low risk level. Low priority but keep
possible action in mind
1 Minor injury eg. Bruise, graze 1 Unlikely to happen at all 1-2 Low or trivial risk. No further action
required.

SO: a x b = c

Action Required Responsible Person Date for Completion